Individual
MS. LISA CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
300 CENTER DR RM 206N, RIVERHEAD, NY 11901-3393
(631) 852-3924
(631) 852-2688
Mailing address
300 CENTER DR RM 206N, RIVERHEAD, NY 11901-3393
(631) 852-3924
(631) 852-2688
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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